A mathematical model for HIV prevention and control among men who have sex with men in China.

Abstract:

:In recent years, men who have sex with men (MSM) constitute a major group of HIV transmission in China. High primary drug-resistance (PDR) rate in MSM also represents a serious challenge for the Chinese antiretroviral therapy (ART) program. To assess the efficiency of ART in controlling HIV/AIDS infection among MSM, we developed a compartmental model for the annually reported HIV/AIDS MSM from 2007 to 2019 in the Zhejiang Province of China. R0 was 2.3946 (95% CI (2.2961-2.4881)). We predict that 90% of diagnosed HIV/AIDS individuals will have received treatment till 2020, while the proportion of the diagnosed remains as low as 40%. Even when the proportion of the diagnosed reaches 90%, R0 is still larger than the level of AIDS epidemic elimination. ART can effectively control the spread of HIV, even in the presence of drug resistance. The 90-90-90 strategy alone may not eliminate the HIV epidemic in Chinese MSM. Behavioural and biologic interventions are the most effective interventions to control the HIV/AIDS epidemic among MSM.

journal_name

Epidemiol Infect

authors

Lu Z,Wang L,Wang LP,Xing H,Fu G,Yan H,Wang L,Li Z,Xu J,Wang N,Wang K,Peng Z

doi

10.1017/S0950268820000850

subject

Has Abstract

pub_date

2020-04-27 00:00:00

pages

e224

eissn

0950-2688

issn

1469-4409

pii

S0950268820000850

journal_volume

148

pub_type

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